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psnet.ahrq.gov/node/42081/psn-pdf
April 09, 2013 - Types and origins of diagnostic errors in primary care
settings.
April 9, 2013
Singh H, Giardina TD, Meyer AND, et al. Types and origins of diagnostic errors in primary care settings.
JAMA Intern Med. 2013;173(6):418-425. doi:10.1001/jamainternmed.2013.2777.
https://psnet.ahrq.gov/issue/types-and-origins-diagnosti…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/utah
January 01, 2023 - Utah
Team Description
The Utah Department of Health (UDOH) has subcontracted with RTI International to address privacy and security issues affecting the exchange of electronic health information. Known as eHealth, the secure sharing of health information electronically is safer for patient…
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www.ahrq.gov/topics/pressure-ulcers.html
Pressure Ulcers
Each year, more than 2.5 million people in the United States develop pressure ulcers. These skin lesions bring pain, associated risk for serious infection, and increased health care utilization. Pressure ulcers are associated with longer hospital stays and increased morbidity and m…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
November 01, 2014 - The number of physical steps in the general toileting process was estimated to have been reduced by 35 … system was increasing efficiency and that using the electronic prescribing software saved staff time and reduced
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening-2008
October 15, 2008 - substantial benefit over fecal tests, with greater sensitivity, when considered as a single test. 5 Reduced
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effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1312.pdf
December 01, 2013 - PREGNANCY, INCLUDING PRETERM BIRTH #12
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 12: Pregnancy, Including Preterm Birth
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither R…
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effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1306.pdf
June 11, 2013 - PREGNANCY, INCLUDING PRETERM BIRTH #12
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 12: Pregnancy, Including Preterm Birth
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither R…
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - When the Meds Don’t Reach the Bed
Citation Text:
Molla M, Le K, Mendoza P. When the Meds Don’t Reach the Bed. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/issue/impact-nursing-led-intervention-bundle-bedside-checklist-reduce-mortality-during-initial
May 05, 2010 - Study
The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the initial COVID-19 pandemic and implications for future emergencies.
Citation Text:
Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside che…
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psnet.ahrq.gov/issue/performance-3-sets-criteria-potentially-inappropriate-prescribing-older-people-identify
December 21, 2022 - Study
Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment.
Citation Text:
Wallerstedt SM, Svensson SA, Lönnbro J, et al. Performance of 3 sets of criteria for potentially inappropriate prescribing in older peop…
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psnet.ahrq.gov/issue/avoiding-chemotherapy-prescribing-errors-analysis-and-innovative-strategies
January 02, 2009 - Study
Avoiding chemotherapy prescribing errors: analysis and innovative strategies.
Citation Text:
Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950.
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psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
January 18, 2023 - Study
Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…
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psnet.ahrq.gov/issue/assessing-controlled-substance-prescribing-errors-pediatric-teaching-hospital-analysis-safety
August 02, 2010 - Study
Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.
Citation Text:
Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescr…
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psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study-key-stakeholders
October 16, 2012 - Study
Improving general practice computer systems for patient safety: qualitative study of key stakeholders.
Citation Text:
Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety: qualitative study of key stakeholders. Qual Saf Health Ca…
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psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following
November 12, 2014 - Study
Classic
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.
Citation Text:
Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…
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psnet.ahrq.gov/issue/short-and-long-term-effects-electronic-medication-management-system-paediatric-prescribing
August 28, 2024 - Study
Short- and long-term effects of an electronic medication management system on paediatric prescribing errors.
Citation Text:
Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. NPJ Digit Me…
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psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
February 16, 2022 - Study
Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.
Citation Text:
Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…
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psnet.ahrq.gov/issue/developing-and-evaluating-success-family-activated-medical-emergency-team-quality-improvement
December 02, 2014 - Study
Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.
Citation Text:
Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ …
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psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
March 10, 2021 - Study
An analysis of incident reports related to electronic medication management: how they change over time.
Citation Text:
Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…
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psnet.ahrq.gov/issue/documenting-indication-antimicrobial-prescribing-scoping-review
August 03, 2022 - Review
Documenting the indication for antimicrobial prescribing: a scoping review.
Citation Text:
Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review. BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582.
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